Align Global Gallery

Invisalign Submission Option: Invisalign Comprehensive

Year: 2023	Difficulty Level: Advanced
Age: 26	Treatment Time: 1 year 9 months 27 days
Gender: Female

Thi Minh Huong Doan

20026

Invisalign Comprehensive

Patient Chief Concern
The patient was concerned about crowding, deep bite, and the appearance of the upper front teeth.

Clinical Indications

Anterior crossbite
Class II div 2
Crowding
Deep bite
Mandibular midline deviation
Maxillary midline deviation
Narrow arches
Rotations
Spacing

The patient presented with congenitally missing mandibular second premolars (#35 and #45), severe deep bite, Class I molar relationship, Class II canine relationship, and retroclined maxillary incisors (Division 2 incisor relationship).

Modalities

Distalization
Extraction
Extrusion
First Premolar extraction
Intrusion
Leveling Curve of Spee
Overtreatment
Proclination
Space Closure

Extraction of the maxillary first premolars (#14 and #24) to relieve crowding and improve incisor position, followed by space closure, correction of the Class II canine relationship, deep bite correction, improvement of maxillary incisor torque, and establishment of a functional and esthetic occlusion.

Treatment Information

Retainer: Other clear

Smartforce: Conventional and Optimized

Submission Process: iTero Scanner Element/5D

Length of Treatment: 22 months

Additional Aligners: 1

Number of Aligners:

	Initial	Additional	Total
Maxillary	46	48	94
Mandibular	46	48	94

Aligner Wear Time: 1 week

Images

Initial

Final

Radiographs

Initial Panorama

Final Panorama

Initial Lateral

Final Lateral

ClinCheck

Summary

Crowding was resolved, extraction spaces were completely closed, the deep bite was corrected, a Class I canine relationship was achieved, and maxillary incisor torque was optimized.